SABRINA PRUDENCIO NP
NPI 1447607148
Nurse Practitioner - Family in Fontana, CA

Q: What is Sabrina Prudencio's NPI number?

The NPI number for Sabrina Prudencio is 1447607148. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Q: What is Sabrina Prudencio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sabrina Prudencio was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2016PECOS EnrolledAccepts Medicare Assignment

9792 SIERRA AVE, FONTANA, CA 92335(909) 434-6000 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sabrina Prudencio Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SABRINA PRUDENCIO NP (NPI 1447607148) is an individual family provider in Fontana, California, licensed in California (NP95004278) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1447607148

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSABRINA PRUDENCIOCredential: NP

Location Address9792 SIERRA AVEFontana, CA 92335-6717

Mailing Address9792 Sierra AveFontana, CA 92335-6717 · (909) 434-6000

Phone(909) 434-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 23, 2016

Last NPPES UpdateNovember 10, 2021

✔ NPI 1447607148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95004278

9792 SIERRA AVE, Fontana, CA 92335

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sabrina Prudencio Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931453875

PECOS Enrollment IDI20181113002086

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RITA RAMIREZ

Registered Nurse